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General NPI Number Information
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NPI Number | 1366816688
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Entity Type | Individual
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Provider Name | GLORIA MCQUEEN RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 4040 HIGHWAY 6 S STE 300
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City | COLLEGE STATION
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State | TX
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Zip | 77845-8900
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Country | US
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Telephone | 979-231-0341
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Fax |
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Provider Business Mailing Address
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Address Line | 2743 PORTERS WAY
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City | BRYAN
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State | TX
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Zip | 77803-1581
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Country | US
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Telephone | 612-532-1543
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP129708
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License Number State | TX
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